ELIZABETH BULLOCK BLEECKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129959

License Status

NOT RENEWED

Business

Title

First Name

ELIZABETH

Middle

BULLOCK

Last Name

BLEECKER

Business Name

ELIZABETH BULLOCK BLEECKER MD

Original Issue Date

04/05/2012

Effective Date

06/13/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017